NPIMap

Organization Active NPI

Milton Family Dental, PLLC

  • Dentist
  • Milton, KY
National Provider Identifier
1013379296
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5403 Issued in KY
Legal business name
MILTON FAMILY DENTAL, PLLC
Practice address
25 Agin Way
Milton, KY 40045-1509
Phone
(502) 268-3192
Fax
(502) 268-5903
NPI assigned
Mar 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James O'ConnorNPI 1033480694
Title
Ceo
Phone
(502) 268-3192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5403 KY Primary

Addresses

Primary practice location

25 Agin Way
Milton, KY 40045-1509

Mailing address

25 Agin Way
Milton, KY 40045-1509
Phone (502) 268-3192

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1013379296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 AGIN WAY",
            "city": "MILTON",
            "state": "KY",
            "postal_code": "400451509",
            "telephone_number": "502-268-3192",
            "fax_number": "502-268-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 AGIN WAY",
            "city": "MILTON",
            "state": "KY",
            "postal_code": "400451509",
            "telephone_number": "502-268-3192",
            "fax_number": "502-268-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-268-3192"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "5403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.